| NPI | 1841289220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY BH1508259) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: KY 25038) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2010-09-09 |